Key messages for Section C

In this section we have compared quality improvement strategies applicable across the continuum of care. The key messages are as follows:

  • There are significant variations between quality improvement and quality assurance strategies.
  • There is a real difference between quality improvement ‘strategies’ and quality of care improvement ‘interventions’, which is an important distinction when supporting the design of systems focused interventions.
  • There are a number of frameworks that can help to frame thinking around the development, monitoring and evaluation of QI strategies, and the interventions used to deliver them.
  • Despite the value of the frameworks, QI strategies often cut across different classifications or are multi-faceted.
  • Although growing there is limited evidence on the effectiveness of QI interventions.
  • Safety and acceptability are critical aspects of QI strategies and of equal importance to effectiveness; however, there is less focus on integrating these aspects into the design and implementation of programmes and a paucity of information and evidence.

Quality improvement initiatives are believed to have the best chance of success if:

  • There are shared goals amongst planners and implementers of quality improvement efforts.
  • Reliable data is available.
  • A culture of accountability can be fostered, without excessive individual blame.
  • There is some concordance of the intervention with existing practices.
  • The intensity of activities is optimised.
  • Top level management and institutional support is available.


Key messages for Section C was last modified: June 18th, 2015 by Adrian Bannister

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